Epidural Labor Analgesia

Physiology of labor.- Anatomo-physiological changes during labor and after delivery.- Labor pain.- Sociology of labor pain.- History of labor pain relief.- Antenatal consultation, maternal information, expectations and satisfaction.- Initiation of labor analgesia: epidural, CSE.- Maintenance of labor analgesia.- Analgesia during second & third stage, episiotomy, episiotomy repair.- Maternal and fetal monitoring during neuraxial labor analgesia.- Nutrition and fluid balance during labor; maternal optimization and fetal resuscitation.- Analgesia for dystocia and instrumental delivery.- Analgesia for induced labor and vaginal birth after cesarean section.- Extension of epidural block for cesarean section.- Postpartum analgesia and postpartum chronic pain.- Effects on neonate and breastfeeding.- Neonatal care in labor and delivery room.- Technical problems and their solutions.- Anti-coagulated parturient and neuraxial analgesia.- Complications of neuraxial analgesia.- Evidence based medicine and labor analgesia.- Ethics.- Teaching labor analgesia and simulation.- Humanization of labor and epidural analgesia.- Medico-legal issues in labor analgesia.